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Client Assessment Forms
Please complete the following client assessment forms in preparation for your visit to the clinic. These forms may also be obtained from our receptionist and completed at the time of your first visit. (Please allow 15 minutes prior to your initial visit to complete these forms).
Infant Feeding and Postnatal Clinic Form - for appointments related to any concern of the infant and family from birth to the end of the first year.
Private Prenatal Registration Form (In Clinic & In Home Location) - for appointments for private prenatal education.
Prenatal Breastfeeding Assessment Form - for appointments to assist an expectant parent(s) with assessment and education about breastfeeding after birth.
Adult Clinic Form - for appointments concerning bereavement (miscarriage, stillbirth, infant loss), women's health counseling, birth trauma, individual counseling etc.
Fee Schedule and Office Policy - to be completed for all initial appointments.